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    Dermatosis Erythrosquamous

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    Vicky Ilda Viantini
    This document discusses several dermatological conditions characterized by erythema (redness) and scaling of the skin. It provides definitions and key details about psoriasis, parapsoriasis, pityriasis rosea, seborrheic dermatitis, erythroderma, and lupus vulgaris. For each condition, it describes classifications, etiology, pathogenesis, physical exam findings, differential diagnoses, management approaches, and in some cases subtypes or variants.

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    Dermatosis Erythrosquamous

    Uploaded by

    Vicky Ilda Viantini
    207 views16 pages
    This document discusses several dermatological conditions characterized by erythema (redness) and scaling of the skin. It provides definitions and key details about psoriasis, parapsoriasis, pityriasis rosea, seborrheic dermatitis, erythroderma, and lupus vulgaris. For each condition, it describes classifications, etiology, pathogenesis, physical exam findings, differential diagnoses, management approaches, and in some cases subtypes or variants.

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    DERMATOSIS ERYTHROSQUAMOUS

    Original Title

    DERMATOSIS ERYTHROSQUAMOUS

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    This document discusses several dermatological conditions characterized by erythema (redness) and scaling of the skin. It provides definitions and key details about psoriasis, parapsoriasis, pityriasis rosea, seborrheic dermatitis, erythroderma, and lupus vulgaris. For each condition, it describes classifications, etiology, pathogenesis, physical exam findings, differential diagnoses, management approaches, and in some cases subtypes or variants.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    207 views16 pages

    Dermatosis Erythrosquamous

    Uploaded by

    Vicky Ilda Viantini
    This document discusses several dermatological conditions characterized by erythema (redness) and scaling of the skin. It provides definitions and key details about psoriasis, parapsoriasis, pityriasis rosea, seborrheic dermatitis, erythroderma, and lupus vulgaris. For each condition, it describes classifications, etiology, pathogenesis, physical exam findings, differential diagnoses, management approaches, and in some cases subtypes or variants.

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    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
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    of 16

    DERMATOSIS

    ERYTHROSQUAMOUS
    Def: disease are characterized by erythema
    and scale (squama)
    1.
    2.
    3.
    4.
    5.
    6.

    PSORIASIS
    PARAPSORIASIS
    PITYRIASIS ROSEA
    DERMATITIS SEBORHEIC
    ERYTHRODERMIA
    LUPUS VULGARIS

    PSORIASIS

    Clasification :
    - Psoriasis Vulgaris :- Acut Guttate
    - Chronic Plaque
    - Palmo Plantar
    - Psoriatic Erythroderma
    - Pustular Psoriasis

    PSORIASIS VULGARIS

    Def : autoimun, chronic, recurring, scaling papules and plaques

    Epid : - incidence : US : 3-5 million


    western : 1,5-2%
    - sex : m=f
    - trigger factor : - physical trauma
    - infection
    - stress
    - drugs : syst. Glucocorticoid, oral lithium,
    antimalaria, interferon
    - predilection : scalp, knees, elbows, anogenital, nails

    Pathogenesis:
    abnormality in psoriasis :
    alteration of the cell kinetic of
    keratinocytes

    shortening cell cycle fr 311 h 36 h

    28x normal epidermal cell prod

    Physic exam :

    - shaply marginated erythematous papules-plaques


    with transparent silvery-white scales. Scale
    are lameller, loose scratching easy remove
    minute blood droplets (Auspitz sign)

    acute guttatae type :


    - salmon-pink papules (gutta, drop) with transparent
    scale
    - trunk
    - resolve spontaneously few weeks recurrent
    chronic stable type : sharply marginated, dullred plaques,
    lamellar silvery-white scales
    palms and soles : massive silvery-white / yellowish
    hyperkeratosis & scalling, is not easily remove
    painful
    fissures

    scalp : plaques, sharply marginated thick


    adherent scale
    nail : pitting, subungual hyperkeratosis,
    onycholysis, yellowish-brown
    spots under nail plate (oil spot)
    pathognomonis
    Lab: - serology : antistreptolysin titer
    uric scid gouty
    arthritis
    - histopatho : acanthosis, mitosis
    keratinocytes,
    parakeratotic
    hyperkeratosis, microabscesses
    Munro
    DD : Seborheic Dermatitis, Lichen simplex
    chronicus, Pityriasis Rosea, T. Corporis

    of

    PUSTULAR PSORIASIS
    Def :characterized by pustules arising on
    normal/inflamed, erythematous skin.
    2 types : generilized & palmo-plantar
    Palmo-plantar :
    Def : - chronic, relapsing eruption limited to the palms
    &soles.
    - steril, yelow, deep-seated pustules dusky-red
    crusts
    -Symp :tingling, burning iching
    - Skin lessions : pustules 2-5 mm, deep-seated, duskyred macules crusts in erythema, scaling
    or normal skin
    - DD : T Manus, Dyshidrotic eczematous Dermatitis,
    HSV Inf

    GENERALIZED ACUTE PUSTULAR PSORIASIS (VON


    ZUMBUSCH)

    - Def : psorisis with characterized by fieryred erythema


    that spread in hours with pin
    point pustules appearing in
    clusters.
    - Symp : fever, generalized weakness, severe
    malaise
    Lab : leucocytosis
    PSORIATIC ERYTHRODERMA
    - Def : condition in which psoriasis involve
    practically the entire
    skin and leads to constitutional symptoms

    Management :
    Topical : - steroid agent in oint base
    - hydrocolloid dressing
    - anthralin
    - analog vit D (calciprotriene 0,05%)cream
    - Tacrolimus 0,1%
    -Tazarotene (retinoid 0,05-0,1%)
    - PUVA
    Scalp : tar/ketokonazol shampoo
    betametason valerat lot
    Oral : cytostatic : Mtx 3x2,5mg/w 3x5mg/w
    Levodopa 2x250mg-3x500mg/d
    DDS 2x100mg/d
    Etretinate 1mg/kgbw/d
    Cyclosporin 6mg/kgbw/d

    PARAPSORIASIS

    Def : chronic erythematous papules


    with scale
    Etiol : unknown
    Clasification :
    - Parapsoriasis Guttata
    - Parapsoriasis Variegata
    - Parapsoriasis en Plaques

    PARAPSORIASIS en PLAQUES
    2 types : 1. Small-plaque parapsoriasis
    2. Large-plaque parapsoriasis

    Small-plaque parapsoriasis
    (digitate dermatosis, or chronic superficial dermatitis)
    - Def : chronic disease characterized by slightly
    elevated
    plaques and scales
    Physical exam : round, oval, erythematous,
    yellowish,
    slightly elevated plaques, <5 cm with slight scale and wrinkled
    surface with
    cigarette-paper appearance.
    DD : Pityriasis Rosea, Large-plaque parapsoriasis
    TX: Lubricant/ topical steroid
    PUVA

    Large-plaque parapsoriasis
    *Lessions disappear after sun exposure (in
    summer), recur (in fall & winter)
    *Middle age
    Physical exam :
    - barely elevated, erythematous, dusky- red,
    sometime yellowish plaques with smooth or
    slightly scalling surface.
    >10 cm, well defined
    - predilection : trunk, buttock, breasts & extremities
    DD : early stages of CTCL
    Prog : persist for life
    Tx : topical glucocorticoid, PUVA

    PITYRIASIS ROSEA
    Def: acute exanthematous with distinctive
    morphology & often with characteristic self-limited
    course
    first: single primary/herald plaque
    1-2w
    generalized secondary eruption
    (typical distribution)
    6w
    remits spontaneously
    Etiol : ? herpes virus type-7

    Pysical exam :
    - Herald patch : oval, slightly raised plaque 25cm, salmon-red, fine colarette scale at
    periphery
    - Exanthem : fine scaling papules & plaques
    with marginal collarette.Characteristic dist:
    long axes of the oval lesion following the
    lines of cleavage in a christmas tree pattern
    Typical P Rosea : - only on the face & neck, herald
    patch may be (-)
    DD : Drug neruption
    Secondary Syphilis
    Guttate psoriasis
    Erythema Multiforme
    Course : spontaneous remission 6-12w
    Tx : symptomatic

    SEBORHEIC DERMATITIS
    Def :very common chronic dermatitis characterized by redness
    & scaling sebaceous gland more active:face, scalp,body

    fold, presternal area


    Epid : - age of onset : infancy (first month)
    puberty,most 20-50y
    - sex : M>F
    - incidence : 2-5% pop
    Predisposing & exacerbating factor :
    - immunocompetent
    - emotional stress
    Pahogenesis : ? Malassezia furfur play a role

    DEF

    Physical exam :
    orange-red or gray-white skin often with greasy or
    white dry scaling macules & papules (5-20mm) sticky c
    rusts & fissures (fold behind the external ear), scalp marked
    scaling (dandruff)
    Tx : topical :glucocorticoid, ketokonazol 2%, tar, tacrolimus
    UV radiation
    syst : 13-cis retinoic acid 1mg/kgbw

    ERYTRODERMA

    Def : the term for all clinical feature that


    characterized by generalized and
    uniform
    redness and scaling involving
    practically the
    entire skin.
    Pathogenesis :
    The most freq :
    - dermatitis
    - psoriasis
    - lymfoma & leucemia
    - adverse cutaneous drug eruption

    Physical exam :
    * Dermatitis & lymfoma/leucemia acute erythema patch
    12-48 h
    erythroderma
    (fever, shivers, hot & cold)
    2-6 d
    dequamation
    w
    hair loss (scalp & body)
    onycolysis,thicken nail
    *History most important
    Management :
    - Topical : water bath + bath oil bland
    emollients
    - Oral : - glucocorticoid remission
    *Tx syst & topical underlying condition

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